{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T09:38:06Z","timestamp":1792575486577,"version":"4.5.0"},"reference-count":41,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/tdm\/tdmrep-policy.json"}],"funder":[{"DOI":"10.13039\/501100000195","name":"Canada Council for the Arts","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000195","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000038","name":"Natural Sciences and Engineering Research Council of Canada","doi-asserted-by":"publisher","award":["CCSIF-2022-00097"],"award-info":[{"award-number":["CCSIF-2022-00097"]}],"id":[{"id":"10.13039\/501100000038","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Can. J. Aging"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0714980826100865_sec39\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Canada\u2019s rapidly aging population poses unique challenges for rural and remote communities such as the Sunshine Coast, British Columbia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0714980826100865_sec40\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Through creative community engagements and community-based participatory research, the Who Cares? project explored experiences of aging and approaches to care by gathering stories from across the Sunshine Coast.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0714980826100865_sec41\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Qualitative data were gathered from numerous community gatherings and twelve one-on-one interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0714980826100865_sec42\">\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Reflexive and collaborative thematic analysis revealed that gaps in health services, staffing, and social supports, which were exacerbated by the COVID-19 pandemic, have since deepened isolation among older adults. Structural barriers included inadequate transportation, housing insecurity, and limited health care access. Findings also revealed that despite these stories of need, communities on the Sunshine Coast demonstrated resilience through informal care networks, volunteerism, and collaborative caregiving practices that transcended institutional settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0714980826100865_sec43\" sec-type=\"discussion\">\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These findings point to the need for systemic and community-driven approaches to aging care that prioritize equity, accessibility, and proactive planning, while recognizing care as a shared responsibility embedded in relationships and community assets.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0714980826100865","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T08:39:02Z","timestamp":1792571942000},"page":"1-11","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Stories from\n                    <i>\u2018Who Cares?\u2019<\/i>\n                    : Cultivating a Community of Aging Care on the Sunshine Coast, British Columbia"],"prefix":"10.1017","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6247-8726","authenticated-orcid":false,"given":"Colleen","family":"Reid","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03wze7d53","id-type":"ROR","asserted-by":"publisher"}],"name":"Douglas College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milo","family":"Oliveira","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03wze7d53","id-type":"ROR","asserted-by":"publisher"}],"name":"Douglas College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afreen","family":"Gill","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03wze7d53","id-type":"ROR","asserted-by":"publisher"}],"name":"Douglas College \u2013 Coquitlam Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caylee","family":"Raber","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03k788b92","id-type":"ROR","asserted-by":"publisher"}],"name":"Emily Carr University of Art and Design"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Paulsen","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03wze7d53","id-type":"ROR","asserted-by":"publisher"}],"name":"Douglas College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avneet","family":"Kaur","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0213rcc28","id-type":"ROR","asserted-by":"publisher"}],"name":"Simon Fraser University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"S0714980826100865_r41","unstructured":"Canadian Home Care Association. (2026). Advancing integrated people-centred care in home and community settings. Canadian Home Care Association."},{"key":"S0714980826100865_r5","doi-asserted-by":"crossref","first-page":"531","DOI":"10.5770\/cgj.27.772","article-title":"Canadian clinical guidelines on social isolation and loneliness in older adults","volume":"27","author":"Conn","year":"2024","journal-title":"Canadian Geriatrics Journal"},{"key":"S0714980826100865_r11","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1080\/16078055.2021.1957011","article-title":"The impact of COVID-19 on therapeutic recreation practice in long-term care homes across Canada","volume":"63","author":"Genoe","year":"2021","journal-title":"World Leisure Journal"},{"key":"S0714980826100865_r13","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13244"},{"key":"S0714980826100865_r23","unstructured":"Realtor.ca. (n.d.). Realtor.ca. https:\/\/www.realtor.ca\/"},{"key":"S0714980826100865_r30","volume-title":"Vital signs 2024","year":"2024"},{"key":"S0714980826100865_r34","unstructured":"Vescera, Z. (2021). \u201cA dream come true\u201d as affordable homes open for M\u00e9tis elders. Healthing.ca. https:\/\/thestarphoenix.com\/news\/local-news\/a-dream-come-true-as-affordable-homes-open-for-metis-elders"},{"key":"S0714980826100865_r37","unstructured":"Women\u2019s Age Lab\/Women\u2019s College Hospital. (2024). Recommendations for action to tackle the loneliness epidemic among older adults in Canada. https:\/\/www.womensacademics.ca\/wp-content\/uploads\/2024\/03\/Recommendations-for-action-to-tackle-the-loneliness-epidemic-among-older-adults-in-Canada.pdf"},{"key":"S0714980826100865_r20","doi-asserted-by":"publisher","DOI":"10.24095\/hpcdp.43.4.02"},{"key":"S0714980826100865_r16","doi-asserted-by":"publisher","DOI":"10.1037\/0022-0167.52.2.250"},{"key":"S0714980826100865_r25","doi-asserted-by":"publisher","DOI":"10.1080\/14927713.2022.2104347"},{"key":"S0714980826100865_r27","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12663"},{"key":"S0714980826100865_r17","unstructured":"National Institute on Ageing. (2025). The coming crisis few are talking about: Canada\u2019s ageing population. https:\/\/niageing.ca\/commentaries\/the-coming-crisis-few-are-talking-about-canadas-ageing-population\/"},{"key":"S0714980826100865_r8","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cym007"},{"key":"S0714980826100865_r29","unstructured":"Statistics Canada. (2022). Census profile, 2021 census of population: Sunshine Coast, regional district (RD), British Columbia. https:\/\/www12.statcan.gc.ca\/census-recensement\/2021\/dp-pd\/prof\/details\/page.cfm?Lang=E&DGUIDlist=2021A00035929"},{"key":"S0714980826100865_r9","doi-asserted-by":"publisher","DOI":"10.1177\/2333721417702349"},{"key":"S0714980826100865_r6","volume-title":"Who cares? Cultivating a community of elder care on the sunshine coast","year":"2025"},{"key":"S0714980826100865_r33","volume-title":"Social connection and health: Data summary sheet","year":"2019"},{"key":"S0714980826100865_r10","volume-title":"Canada\u2019s aging population and long-term projections for federal finances","author":"Fuss","year":"2020"},{"key":"S0714980826100865_r32","doi-asserted-by":"publisher","DOI":"10.1080\/07317115.2020.1863890"},{"key":"S0714980826100865_r35","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.170920"},{"key":"S0714980826100865_r2","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2020.1769238"},{"key":"S0714980826100865_r14","doi-asserted-by":"publisher","DOI":"10.1017\/S0714980820000203"},{"key":"S0714980826100865_r39","unstructured":"World Health Organization. (2026). Social isolation and loneliness. Accessed April 28, 2026, https:\/\/www.who.int\/teams\/social-determinants-of-health\/demographic-change-and-healthy-ageing\/social-isolation-and-loneliness"},{"key":"S0714980826100865_r4","first-page":"e33425","article-title":"The role of social determinants of health in promoting health equality: A narrative review","volume":"15","author":"Chelak","year":"2023","journal-title":"Cureus"},{"key":"S0714980826100865_r22","volume-title":"Sunshine Coast Rural Community Health Service Area health profile (Version 2.0)","year":"2025"},{"key":"S0714980826100865_r24","volume-title":"Experience, research, social change: Critical methods","author":"Reid","year":"2017"},{"key":"S0714980826100865_r18","unstructured":"Office of the Provincial Health Officer and BC Centre for Disease Control. (2024). Examining the societal consequences of the COVID-19 pandemic: Provincial health officer\u2019s annual report. https:\/\/www2.gov.bc.ca\/assets\/gov\/health\/about-bc-s-health-care-system\/office-of-the-provincial-health-officer\/reports-publications\/annual-reports\/pho-annual-report-examining-societal-consequences-of-covid-19.pdf"},{"key":"S0714980826100865_r12","unstructured":"Government of Canada. (2025). Social isolation of seniors \u2013 Volume I: Understanding the issue and finding solutions. https:\/\/www.canada.ca\/en\/employment-social-development\/corporate\/seniors-forum-federal-provincial-territorial\/social-isolation-toolkit-vol1.html"},{"key":"S0714980826100865_r36","doi-asserted-by":"publisher","DOI":"10.21606\/drs.2026.1546"},{"key":"S0714980826100865_r15","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1017\/S0144686X1900165X","article-title":"Social connectedness: What matters to older people?","volume":"41","author":"Morgan","year":"2021","journal-title":"Ageing and Society"},{"key":"S0714980826100865_r31","volume-title":"Home","year":"2021"},{"key":"S0714980826100865_r3","volume-title":"Emergent strategy: Shaping change, changing worlds","author":"Brown","year":"2017"},{"key":"S0714980826100865_r28","volume-title":"LoBiondo-Wood and Haber\u2019s nursing research in Canada","author":"Singh","year":"2022"},{"key":"S0714980826100865_r1","unstructured":"B.C. Ministry of Health. (2021). Chapter 11: Social isolation of residents in long-term care & assisted living (Reported July 2021). https:\/\/www2.gov.bc.ca\/assets\/gov\/health\/about-bc-s-health-care-system\/office-of-the-provincial-health-officer\/reports-publications\/annual-reports\/societal-consequences-ch-11.pdf"},{"key":"S0714980826100865_r7","doi-asserted-by":"publisher","DOI":"10.1139\/facets-2020-0056"},{"key":"S0714980826100865_r38","unstructured":"World Health Organization. (2015). WHO global strategy on people-centred and integrated health services: Interim report. https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/992063e6-a49e-49e5-b8ee-709809f05564\/content"},{"key":"S0714980826100865_r40","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.4172"},{"key":"S0714980826100865_r21","doi-asserted-by":"publisher","DOI":"10.4236\/jbise.2022.1511023"},{"key":"S0714980826100865_r26","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2021.101209"},{"key":"S0714980826100865_r19","unstructured":"Office of the Seniors Advocate BC. (2017). Every voice counts: Residential care survey provincial results. https:\/\/www.seniorsadvocatebc.ca\/app\/uploads\/sites\/4\/2017\/09\/Provincial-Results-Final-HQ.pdf"}],"container-title":["Canadian Journal on Aging \/ La Revue canadienne du vieillissement"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0714980826100865","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0714980826100865","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T08:39:08Z","timestamp":1792571948000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0714980826100865\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,21]]},"references-count":41,"alternative-id":["S0714980826100865"],"URL":"https:\/\/doi.org\/10.1017\/s0714980826100865","relation":{},"ISSN":["0714-9808","1710-1107"],"issn-type":[{"value":"0714-9808","type":"print"},{"value":"1710-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,21]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of The Canadian Association on Gerontology","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}